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It's higher now, but it's still a much, much better deal than the HSA -- cheaper, even, than the COBRA plan, while providing more or less the same coverage. So why is everybody talking about HSAs all of a sudden? If they're completely impractical for families like mine, prams who are they for, and how could they possibly improve our nation's dysfunctional health-care system? The beautiful American Turns out, HSAs are a terrific option prams if you're young, affluent, prams single, and in perfect health. Here's an account by a young doctor who meets all those criteria and has had an HSA for the past two years: My deductible, $3,500 per year, goes into my health savings account (a money market account that earns about 3 percent, compounded quarterly, no fees), and I pay my routine expenses from debit withdrawals from that account. As a 33-year-old single woman, my expenses consist almost completely of dental checkups and birth control -- about $500 per year. The required premium for my high-deductible insurance policy, a required companion to a health savings account, is about $50 a month, or $600 per year.
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